| Michael A. Lebedev, M.d. | |
|
202 Howard St Ste 2 Auburndale FL 33823-3431 | |
| (863) 967-6673 | |
| Not Available |
| Full Name | Michael A. Lebedev, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 202 Howard St, Auburndale, Florida |
| Authorized Official Name and Position | Michael Lebedev (BOSS) |
| Authorized Official Contact | 8639676673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A. Lebedev, M.d. 202 Howard St Ste 2 Auburndale FL 33823-3431 Ph: (863) 967-6673 | Michael A. Lebedev, M.d. 202 Howard St Ste 2 Auburndale FL 33823-3431 Ph: (863) 967-6673 |
| NPI Number | 1558750836 |
|---|---|
| Provider Enumeration Date | 01/09/2015 |
| Last Update Date | 01/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558750836 | NPI | - | NPPES |
| 048443100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0050395 (Florida) | Primary |
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